06331nam 2200793Ia 450 991096242270332120251017110108.01-280-22193-397866102219360-309-56306-20-585-14244-0(CKB)111004366656358(EBL)3377175(SSID)ssj0000106674(PQKBManifestationID)11140442(PQKBTitleCode)TC0000106674(PQKBWorkID)10111056(PQKB)11713633(MiAaPQ)EBC3377175(Au-PeEL)EBL3377175(CaPaEBR)ebr10068408(CaONFJC)MIL22193(OCoLC)923268711(DNLM)601790(BIP)46102022(BIP)100754(EXLCZ)9911100436665635819860121d1985 uy 0engur|n|---|||||txtrdacontentcrdamediacrrdacarrierAssessing medical technologies report of a study /by a committee of the Institute of Medicine, Division of Health Sciences Policy, Division of Health Promotion and Disease Prevention1st ed.Washington, D.C. National Academy Pressc19851 online resource (592 pages)Outgrowth of a conference held by the Institute of Medicine in 1980.Prepared by the Committee for Evaluating Medical Technologies in Clinical Use.0-309-03583-X Includes bibliographies and index.""Assessing Medical Technologies""; ""Copyright""; ""Acknowledgments""; ""Preface""; ""PROCEDURE FOR THE STUDY""; ""AUDIENCE FOR THE STUDY""; ""Contents""; ""Summary""; ""THE SCOPE OF U.S. MEDICAL TECHNOLOGY ASSESSMENT""; ""Varieties and Expense of Assessment""; ""Federal Government""; ""Drug Industry""; ""Medical Device Industry""; ""Other Private Sector Assessment Activities""; ""Lags in Assessment""; ""Recommendations""; ""METHODS OF MEDICAL TECHNOLOGY ASSESSMENT""; ""EFFECTS OF EVALUATION ON DIFFUSION OF TECHNOLOGY""; ""Diffusion and Its Determinants""""Types of Evaluation That Precede Accepted Medical Practice"" ""Recommendations""; ""REIMBURSEMENT AND TECHNOLOGY ASSESSMENT""; ""Assessment in the New Era of Cost Containment""; ""Paying for Technology Assessment""; ""Recommendations""; ""MEDICAL TECHNOLOGY ASSESSMENT ABROAD""; ""Recommendations""; ""CONCLUSIONS AND RECOMMENDATIONS""; ""The Challenge""; ""Key Functions for Assessment""; ""Building a System""; ""Financing""; ""Recommendations""; ""1 Introduction""; ""POLIO""; ""SURGICAL PROCEDURE""; ""EXAMPLES OF TECHNOLOGY ASSESSMENT""; ""Electronic Fetal Monitoring""""Computed Tomography Scanning"" ""Drug Treatment for Hypertension""; ""Hysterectomy""; ""Medical Information System""; ""SOME LESSONS FROM THE EXAMPLES""; ""COMPREHENSIVE TECHNOLOGY ASSESSMENT""; ""DIFFERENT PARTIES, DIFFERENT AIMS IN ASSESSMENTS""; ""REFERENCES""; ""2 The Scope of U.S. Medical Technology Assessment""; ""AN OVERVIEW""; ""VARIETIES OF MEDICAL TECHNOLOGY ASSESSMENT""; ""NATIONAL EXPENDITURES FOR HEALTH RESEARCH AND DEVELOPMENT, CLINICAL TRIALS, AND TECHNOLOGY ASSESSMENT""; ""FEDERAL GOVERNMENT""; ""National Institutes of Health""; ""Office of Medical Applications of Research""""Food and Drug Administration"" ""Office of Technology Assessment""; ""Prospective Payment Assessment Commission""; ""Health Care Financing Administration""; ""National Center for Health Services Research and Health Care Technology Assessment""; ""Office of Health Technology Assessment""; ""National Center for Health Statistics""; ""Veterans Administration""; ""Centers for Disease Control""; ""Department of Defense""; ""DRUG INDUSTRY""; ""Drug Industry Research and Development""; ""Assessment of Drugs""; ""Expenditures for Drug Assessment""; ""MEDICAL DEVICE INDUSTRY""""Medical Device Industry Research and Development"" ""Assessment of Medical Devices""; ""Expenditures for Medical Device Assessment""; ""OTHER PRIVATE SECTOR ASSESSMENT ACTIVITIES""; ""Insurers""; ""Medical Associations""; ""Policy Research Groups""; ""Industry Associations""; ""Provider Institutions""; ""Academic Institutions""; ""Employers""; ""CONCLUSIONS""; ""RECOMMENDATIONS""; ""Assessment Concerns""; ""Coordination of Assessment Information""; ""Responsibility for Conduct of Assessments""; ""Evaluation of Assessment Programs""; ""Financial Support for Medical Technology Assessment""; ""Amount of Support""New drugs, new devices, improved surgical techniques, and innovative diagnostic procedures and equipment emerge rapidly. But development of these technologies has outpaced evaluation of their safety, efficacy, cost-effectiveness, and ethical and social consequences. This volume, which is "strongly recommended" by "The New England Journal of Medicine" "to all those interested in the future of the practice of medicine," examines how new discoveries can be translated into better care, and how the current system's inefficiencies prevent effective health care delivery. In addition, the book offers detailed profiles of 20 organizations currently involved in medical technology assessment, and proposes ways to organize U.S. efforts and create a coordinated national system for evaluating new medical treatments and technology.Medical careUnited StatesTechnology assessmentUnited StatesMedical technologyUnited StatesEvaluationMedical careTechnology assessmentMedical technologyEvaluationMedical careTechnology assessmentMedical technologyEvaluation.Medical care.Technology assessment.Medical technologyEvaluation.610/.28Institute of Medicine (U.S.).Division of Health Sciences Policy.Institute of Medicine (U.S.).Division of Health Promotion and Disease Prevention.MiAaPQMiAaPQMiAaPQBOOK9910962422703321Assessing medical technologies4446696UNINA